Spine
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Comparative Study
Changes in physical function after palliative surgery for metastatic spinal tumor: association of the revised Tokuhashi score with neurologic recovery.
A retrospective study of patients undergoing palliative surgery for metastatic spinal tumors. ⋯ Palliative surgery benefited half of the patients with metastatic spinal tumor, with a greater probability of benefit found in persons with a higher total revised Tokuhashi score (score 9-15) and/or primary cancers with longer survival times.
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Case Reports Comparative Study
Indications for cervical pedicle screw instrumentation in nontraumatic lesions.
Retrospective clinical study. ⋯ There is an indication of cervical PS fixation for destructive lesions because of a high fusion rate with improvement of nape pain. On the other hand, there is no indication in cases of typical CSM and OPLL if a potential risk of vertebral artery or nerve injury is taken into account.
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Comparative Study
Dynamic angular three-dimensional measurement of multisegmental thoracolumbar motion in vivo.
Method validation and in vivo motion segment study. ⋯ This method offered accurate multisegmental dynamic-recording facilities. The dynamic exercises showed high reproducibility. The ranges of motion for extension/flexion and lateral bending differed from those reported in previous studies. The coupling patterns were only partly consistent because of large interindividual variation. The measurement error was comparable with that of other invasive methods.
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Case Reports
Lumbar epidural capillary hemangioma presenting as lumbar disc herniation disease: case report.
A case of lumbar spinal epidural hemangioma is presented. ⋯ We have reported for the first lumbar epidural capillary hemangioma patient in literature. These lesions are benign and surgical treatment is curative.
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Comparative Study
Neuroprotective effects of caspase-3 inhibition on functional recovery and tissue sparing after acute spinal cord injury.
We used gene microarrays and found that caspase-related death genes were upregulated. We tested caspase inhibition and evaluated its effect on the spinal cord after traumatic injury. ⋯ These results indicate neuroprotection at both the cellular level and with substantial functional recovery, suggesting caspase-3 inhibition may be a viable therapy in the early hours after experimental SCI.